(1) Hold a current active license to
practice chiropractic within the Commonwealth of Kentucky;

(2) (a) For the first year that a
person seeks to register to perform peer review, have previously successfully
completed a course consisting of a minimum of 100 hours of utilization review and
independent medical examination from a chiropractic college or university accredited
by the Council on Chiropractic Education; and

(b) For each year thereafter that a
person seeks to register to perform peer review, have completed six (6) hours
of utilization review offered by a chiropractic college or university accredited
by the Council on Chiropractic Education, which shall be obtained within the
Commonwealth of Kentucky; and

(3) Register annually with the board,
by June 1 of each year, by:

(a) Presenting evidence of satisfactory
compliance with the requirements established in this section and of having met
the education requirements of KRS 312.175;

(b) Completing the Registration Form
for Persons Performing Peer Review of Kentucky Chiropractic Claims; and

(c) Paying a registration fee of fifty
(50) dollars.

Section 2. In performing peer review
activities, a licensee shall:

(1) Render the actual review service
and documented report;

(2) Personally retain a copy of all
records associated with each peer review case for a minimum of seven (7) years;

(3) Employ minimum standards associated
with the practice of chiropractic and comply with the code of ethical conduct established
in 201 KAR 21:015;

(4) Provide a report that includes the
rationale for the determination in order that the licensee provider is given
adequate information to appeal;

(5) Sign all reports, unless the review
is performed under the Kentucky Chiropractic Board of Examiners Peer Review
Committee, in which case, the board’s administrator or designee shall sign the
determination;

(6) Review in accordance with accepted
standards as defined in 201 KAR 21:001;

(7) Review thoroughly and rely on all
documents provided to the reviewer;

(8) List in the resulting report all
documents provided to the reviewer and list all documents reviewed; and

(9) Personally conduct the review and
prepare the report.

Section 3. Complaint Procedure Related
to Peer Reviewers. A complaint against a peer reviewer alleging a violation of this
administrative regulation or any other provision of KRS Chapter 312 or 201 KAR
Chapter 21 shall be filed and processed according to the procedure established
in 201 KAR 21:051.